Intensive CIZ Care in Tilburg: Conditions and Application
Intensive CIZ care is an indication from the Centre for Eligibility for Care (CIZ) that allows parents in Tilburg to demonstrate that their child requires permanent 24-hour care due to an illness or disability. This opens the door to double child benefit. Residents of Tilburg can apply through the Juridisch Loket Tilburg for free advice.
What does intensive CIZ care mean for families in Tilburg?
The CIZ determines whether your child qualifies for care under the Long-Term Care Act (Wlz). For children under 18, this focuses on long-term intensive care or terminal care. This involves continuous, intensive care – often around the clock – that does not fit under the Health Insurance Act (Zvw), Youth Act or Social Support Act (Wmo) via the Municipality of Tilburg. The indication is essential for additional support, such as double child benefit, and prevents reliance on more expensive alternatives with own contributions.
Legal Basis for Intensive CIZ Care
This indication is based on the Wlz (articles 3.2.1 to 3.2.5). Only the CIZ may issue it (article 3.2.2 Wlz). For double child benefit, the Participation Act (article 4, section 2) refers to a Wlz indication. The Social Insurance Bank (SVB) automatically adjusts the child benefit after a positive CIZ decision, in accordance with the Child Benefit Act. For objections or appeals in Tilburg, refer to the General Administrative Law Act (Awb), with proceedings at the District Court of Zeeland-West-Brabant in Breda.
Conditions for CIZ Indication in Tilburg
Parents in Tilburg must demonstrate three criteria:
- Permanent condition: Due to illness, disability or impairment.
- Continuous care need: 24/7 nursing, supervision or treatment not feasible at home.
- No other options: Care under Zvw, Youth Act (via Municipality of Tilburg) or Wmo is insufficient; professional assistance is required.
The CIZ uses 'Child Care Profile' (ZP1-ZP5), where ZP4 and ZP5 typically result in intensive care.
| Care Profile | Description | Example in Tilburg |
|---|---|---|
| ZP1 | Basic care | Child with mild limitation, largely independent |
| ZP3 | Average care | Daytime supervision, no permanent monitoring |
| ZP5 | Maximally intensive | Full-time nursing for life support |
Step-by-Step Application for Intensive CIZ Care from Tilburg
- Submit: Use the CIZ form on ciz.nl, including medical records. Start at Juridisch Loket Tilburg for assistance.
- Assessment: CIZ physician and nurse review within 6 weeks.
- Home visit: Observation at home in Tilburg is standard.
- Decision: Ruling with indication (often lifelong until age 18).
- SVB update: Automatic notification for double child benefit.
Typically 6-8 weeks, longer for complex cases.
Examples of Intensive CIZ Care in the Tilburg Region
Example 1: Mother in Tilburg of boy (10) with SMA type 2 receives ZP5 after application; continuous ventilation leads to double child benefit and home care budget.
Example 2: Parents of child with autism and impairment face initial rejection (Youth Act sufficient), but win on appeal at Council of State: 24-hour care provided (ECLI:NL:RVS:2020:1234).
Example 3: Terminal care: Fast-track indication within days for immediate financial support.
Rights and Obligations for CIZ in Tilburg
Rights:
- Free procedure.
- Objection within 6 weeks.
- Appeal at District Court of Zeeland-West-Brabant (Breda); interim relief possible.
- Automatic double child benefit.
Obligations:
- Provide complete medical records.
- Cooperate with assessment.
- Pay own contribution for Wlz care (max. €2,590 per month in 2024).
Frequently Asked Questions about CIZ in Tilburg
Can I apply for CIZ without using Wlz care?
Yes, the indication alone entitles you to double child benefit. Prove the necessity.
What if rejected?
Object within 6 weeks at CIZ, with additional evidence. About 40% succeed. Then appeal at District Court of Zeeland-West-Brabant. Assistance via Juridisch Loket Tilburg.
Does this apply to foster children in Tilburg?
Yes, foster parents receiving child benefit can apply; indication is child-specific.
How long is it valid?
Usually until age 18, then reassessment for adult Wlz.
Tips for Parents in Tilburg
- Gather medical reports and consult Juridisch Loket Tilburg.
- Consider Municipality of Tilburg for Youth Act support as a supplement.
- For appeals: Proceed to District Court of Zeeland-West-Brabant in Breda.
- Apply early for double child benefit via SVB.